General Practitioners - Referrals

Information to include in vascular referrals.

Aneurysms

• State the location, e.g. aorta, iliac, popliteal artery.
• The size of aneurysm diameter, either anterior-posterior or transverse.
• Include any copies of ultrasound or CT that may already be performed.

Carotids

• State whether the patient is symptomatic or asymptomatic.
• If symptomatic, the date and description of symptoms.
• Include any copies of ultrasound or CT that may already be performed.

Peripheral vascular disease

• State whether patient has claudication or critical limb ischaemia (ulcers, rest pain).
• If claudication then the distance they can walk and level of impairment it causes.
• If ulcers or tissue loss, state location and size of involvement.

Varicose veins

• Specify location as this will enable pre consultation scans.
• If they had any complication from varicose veins such as ulcers, recurrent cellulitis, phlebitis and bleeding.
• Previous surgery, and any history of DVT or thrombophilla.

In all patients

• Medical history, especially cardiac, respiratory, renal and smoking
• Their functional level, e.g. independent, rest home with one person assist.
• BP, pulses and medications. If on Warfarin the indication.
• Lab results of creatinine, HbA1c and lipids if available